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Remote crisis intervention and suicide risk management in COVID-19 frontline healthcare workers

dc.creatorRobles, Rebecaes_ES
dc.creatorInfante, Saraes_ES
dc.creatorFeria, Miriames_ES
dc.creatorArango, Ivánes_ES
dc.creatorTirado, Elsaes_ES
dc.creatorRodríguez-Delgado, Andréses_ES
dc.creatorMiranda, Edgares_ES
dc.creatorFresán, Anaes_ES
dc.creatorBecerra, Claudiaes_ES
dc.creatorEscamilla, Raules_ES
dc.creatorMadrigal de León, Eduardo Angeles_ES
dc.date2023
dc.date.accessioned2024-10-04T21:24:13Z
dc.date.available2024-10-04T21:24:13Z
dc.date.issued2023
dc.identifierJC26DIEP23es_ES
dc.identifier.urihttp://repositorio.inprf.gob.mx/handle/123456789/8072
dc.identifier.urihttps://doi.org/10.3389/fpsyg.2023.1253179
dc.descriptionIntroduction: Despite the propagation of virtual mental health services for vulnerable groups during COVID-19 pandemic, the implementation and evaluation of remote evidence-based practices (EBP) to manage them in low- and middle-income countries remains scarce. In the current study, we describe and evaluate the implementation process and clinical impact of brief, remote, manualized EBP for crisis intervention and suicide risk management among healthcare workers attending patients with COVID-19 (COVID-19-HCWs) in Mexico. Methods: The implementation process comprised community engagement of volunteer mental health specialists, creation of new clinical teams with different disciplines and skills, intervention systematization through manuals and education through 4-h remote training as main strategies. Mexican COVID-19-HCWs who had used a free 24-h helpline rated their pre- and post-intervention emotional distress. Therapists recorded patients' pre-intervention diagnosis, severity, and suicide risk, the techniques used in each case, and their post-treatment perception of COVID-19-HCWs' improvement at the end of the intervention. Results: All techniques included in the intervention manual were employed at least in one case (n = 51). At the beginning of the intervention, 65.9% of the COVID-19-HCWs were considered moderately ill or worse according to Clinical Global Impression-Severity (CGI-S) scores, whereas at the end, 79.4% of them were perceived as much or very much improved according to CGI-Improvement scores (CGI-I), and their emotional distress had been significantly reduced (p < 0.001). Discussion: This prospective study provides evidence that implementation of remote EBP is feasible and useful to reduce emotional distress and suicide risk among COVID-19-HCWs from a middle-income country. However, this study was limited by lack of a control group, improvement ratings provided by therapists and non-anonymous satisfaction ratings.es_ES
dc.formatPDFes_ES
dc.language.isoenges_ES
dc.publisherFrontiers Research Foundationes_ES
dc.relation14:1253179
dc.rightsAcceso Cerradoes_ES
dc.titleRemote crisis intervention and suicide risk management in COVID-19 frontline healthcare workerses_ES
dc.typeArtículoes_ES
dc.contributor.affiliationGlobal Mental Health Research Center, Ramón de la Fuente Muñiz National Institute of Psychiatry, Mexico City, Mexico
dc.contributor.emailreberobles@imp.edu.mx, reberobles@hotmail.com (Rebeca Robles)
dc.relation.jnabreviadoFRONT PSYCHOL
dc.relation.journalFrontiers in Psychology
dc.identifier.placeSuiza
dc.date.published2023
dc.identifier.organizacionInstituto Nacional de Psiquiatría Ramón de la Fuente Muñiz
dc.identifier.eissn1664-1078
dc.identifier.doi10.3389/fpsyg.2023.1253179
dc.subject.kwCrisis intervention
dc.subject.kwSuicide
dc.subject.kwHealthcare workers
dc.subject.kwCOVID-19
dc.subject.kwe-mental health
dc.subject.kwImplementation science


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